Part IIIPart III: : Advanced Crisis Advanced Crisis InterventionIntervention

Contemporary approaches for the Contemporary approaches for the journey of transforming trauma journey of transforming trauma

by regaining emotional and by regaining emotional and cognitive controlcognitive control

Jane Dwyer, MSW, LCSWJane Dwyer, MSW, LCSW

Crisis Intervention with Rape Crisis Intervention with Rape and Sexual Assault Survivorsand Sexual Assault Survivors

ObjectivesObjectives

• Identify fundamental and advanced techniques and counseling skills

• Determine the skills to be utilized with special populations of sexual assault survivors

• Explain the importance of utilizing effective instruments in assessments

Fundamental Skills and Fundamental Skills and TechniquesTechniques

• Crisis Intervention immediately following the trauma– Safety Consideration– Law Enforcement Consideration–Medical Attention Consideration– Processing the Traumatic Experience– Short-Term/Long-Term Counseling

Considerations

Fundamental Techniques Fundamental Techniques (cont.)(cont.)

• The 8 Suggestions– Acceptance– Assist in structuring days– Educate in nurturance– Remind to care for selves physically,

socially, emotionally, spiritually, and educationally

– Ward off negative thinking– Express feelings– Expand social network– Be gentle with themselves

Fundamental Techniques Fundamental Techniques (cont.)(cont.)

• Grounding

• Uncovering Automatic Thoughts

• Changing Patterns of Limited Thinking

Advanced TechniquesAdvanced Techniques

• Relaxation– Abdominal breathing– Progressive Muscle Relaxation– Cue-Controlled Relaxation– Visualizing a Peaceful Scene

Advanced Techniques Advanced Techniques (cont.)(cont.)

• Mindfulness– Inner-Outer Shuttle– Observing Your Thoughts

• Skill Building and Reconnecting

Applicability to Special Applicability to Special PopulationsPopulations

• Specific Populations– Diverse Cultures– LGBTQ Community–Male Victims– Children– The Elderly – The Mentally Ill– Secondary Victims (Significant Others)

Assessment ToolsAssessment Tools

• TAF (Triage Assessment Form)

Video SegmentVideo Segment

Interactive ExerciseInteractive Exercise

ReferencesReferencesJames, R.K., Gilliland, B. E.,(2013) Crisis Intervention Strategies.

Belmont, California: Brooks/Cole. (7th edition)

Brown, S., (2007) Counseling Victims of Violence. Alameda, CA: Hunter House Publications. (2nd edition)

Echterling, L.G., Presbury, H.H., & McKee, J.E. (2006) Crisis Intervention: Promoting resilience and resolution in troubled times. Upper Saddle River, NJ: Pearson.

Evans, D., Hearn, M., Uhlemann, M., Ivey,A. (2011) Essential Interviewing: A programmed approach to effective communication. Belmony, CA: Brooks/Cole. (8th edition)

McKay, M., Davis, M., Fanning, P., Thoughts and Feelings: Taking contro; of your moods and your life, Oakland, CA: New Harbinger Publications, (4th edition)

Myer, R., (2001) Assessment for Crisis Intervention: A triage assessment model. Belmont, CA: Wadswoth/Thomas Learning.

•Life After Trauma Workbook: http://ucenickiparlament.weebly.com/uploads/9/2/4/7/9247538/life_after_trauma_-_prirucnik.pdf

•Sexual Violence Interventions: http://www.vawnet.org/sexual-violence/intervention.php

•CBT Worksheets for PTSD: http://www.psychologytools.org/ptsd.html

•Trauma Healing Exercise: http://www.new-synapse.com/aps/wordpress/?p=187

•Broken Bowl Project: http://christabrennan.wordpress.com/2013/03/08/the-broken-bowl-project/

•Coping Skills Toolbox: http://thefatgrackle.tumblr.com/post/45987684417

•Trauma Masks: http://creativesocialworker.tumblr.com/post/66721624148/trauma-masks-in-this-activity-the-clients-create

•Crystal Ball activity: http://www.art-feels.com/post/42511853048/task-2-crystal-ball-create-a-crystal-ball

•Boundaries activity: http://arttherapydirectives.blogspot.com/2012/07/boundary-drawings.html

•53 Art Therapy Blogs: http://stuartcline.wordpress.com/2013/11/09/52-art-therapy-blogs-you-do-not-want-to-miss/

•100 art therapy exercises: http://stuartcline.wordpress.com/2013/09/27/100-art-therapy-exercises-to-make-your-mind-body-and-spirit-sing/

•Focus Card: http://www.createmixedmedia.com/blogs/creative-insights/creative-insights-karen-wallace-3

Questions?Questions?